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1. pent Do you want to group the current episode bulk group or run the test ati Group this record PatClal Bulk group the currently selected Facilty le DVAAs Bulk group all episodes phases in the d group all epis phases in jatabase BegDate CT ET EpisiD EndDate _ DVARe 20 11 2006 2 3 45 06 01 2007 System Batch process the GroupDat txt file in the database folder ProvUr ilit Cancel operation HoNOS 10 total LSP 13 total CGA total Mental health legal status Behaviour School attendance HoNOSCA begin total Factors affecting health total Maintenance type Staff 20 StaffCode RUG total Ses EA i1000 Day 1 01 01 2000 1 Be c Options select button below xj Which version of AN Snap 1 or 2 NOTE All grouped records will have the AN Snap Version field set to the selected version Group to AN Snap 1 Group to AN Snap 2 Cancel operation Using SNAPshot V3 8 to collect AROC Dataset Page 19 Australian Health Services Research Institute 4 Troubleshooting If on opening up the main screen and logging on you do not see any data you will need to reset which Facility and Provider unit SNAPshot should be focusing on To do this simply highlight Facility in the set list and the
2. Australian Health Services Research Institute APPENDIX 2 SEARCHING FOR A CLIENT BY NAME OR BY MRN 25 APPENDIX3 AROC IMPAIRMENT CODES 26 APPENDIX4 LIST OF HEALTH FUNDS AND OTHER PAYERS 29 APPENDIX5 EMPLOYMENT STATUS INCLUSIONS EXCLUSIONS BY CODE 31 APPENDIX6 AROC IMPAIRMENT CODING GUIDELINES 32 List of Tables Table 1 Definitions for fields relevant to AROC in the Facility Data Set eccccceeeeeeeeeeeeeceeeeeeeeeeeeeteneees 8 Table 2 Definitions for fields relevant to AROC in the Provider Unit Data Set 8 Table 3 Definitions for fields relevant to AROC in the WardTeam Data Set 0 cccccsceceeceeseeeeeeseeeeeeeeaees 8 Table 4 Definitions for fields relevant to AROC Ambulatory in the Patient Data Set cccceeeeeeeeeeeeees 9 Table 5 Definitions for fields relevant to AROC Ambulatory in the Episode Data Set ccceeeeeeeeeeeees 11 Table 6 Definitions for fields in the AROCAmbulatory SCre N cccceeeeceeeeeeeeeeaeeeeaeeseeeeeseaeeesaaeseeneessaees 13 Table 7 SNAPclass status codes and suggested resolutions to field errors cccscceceesseceeeeseeeeeeeseeeeeeaes 22 List of Figures Figure 1 SNAPshot MAIM SCKOCMNS sisceicegesvetlee benwedacen cata cide hayden we gabe cadeanad aden sabe aad cadeney ai e aa aaa 4 Figure 2 Transaction buttons at the top of the Edit View SCreeN eee ee eee cece cee eet aeeeeeaeeeneeeeeas 5 Figure 3 The AROC data s
3. Edit View 2 Click on Add anew Client Record will be opened in the Edit View 3 Complete the fields as explained in Table 4 below Table 4 Definitions for fields relevant to AROC Ambulatory in the Patient Data Set Snapshot field AROC data item Description Medical Record Item 5 Client file number or medical record number Maximum Number 12 digits must be unique within Facility Date of Birth Item 6 Client s birth date in format DD MM YYYY Surname Not collected Helpful for local purposes required for HCP Given Names Not collected Helpful for local purposes required for HCP Sex Item 7 Code for the patient s gender 1 Male 2 Female 3 Indeterminate 9 Not stated inadequately defined Indigenous status Item 8 Enter code for the patient s indigenous status 1 Aboriginal but not Torres Strait Islander origin 2 Torres Strait Islander but not Aboriginal origin 3 Both Aboriginal and Torres Strait Islander origin 4 Neither Aboriginal nor Torres Strait Islander origin 9 Not stated inadequately described State Item 9 AUS only Enter the code for the state of residence New South Wales Victoria Queensland South Australia Western Australia Tasmania Northern Territory Australian Capital Territory Other Territories Cocos Islands Christmas Island Jervis Bay Territory 99 Other Country CONOR WNM Postcode Item 10 AUS only
4. Enter the post code for the patient s usual address Country Item 11 Enter the code for the country of patient s residence using the Standard Australian Classification of Countries SACC DVA Number Not collected If episode is funded by DVA then DVA card number is required for HCP Type of usual accommodation prior to admission Item 17 Enter the code for the type of accommodation that the client lived in prior to hospitalisation for this admission 1 Private residence including unit in retirement village 2 Residential aged care low level care hostel Using SNAPshot V3 8 to collect AROC Dataset Page 9 Australian Health Services Research Institute Snapshot field AROC data item Description 3 Residential aged care high level care nursing home 4 Community group home 5 Boarding house 6 Transitional living unit 7 Other Funding source Item 23 Enter the code for the funding source for this episode for hospital Australia Health Care Agreements public patient patient Private health insurance Self funded Workers compensation Motor vehicle third party personal claim Other compensation eg public liability common law medical negligence 7 Department of Veterans Affairs 8 Department of Defence 9 Correctional facility 10 Other hospital or public authority contracted care 11 Reciprocal health care agreement other countries 12 Other 99 Not
5. PatClAAR EpiClARR DVAAss MDS DVARev MD System ProvUnit Facility Epi90D ay UserT able ImpDetail Import UserDef Once the provider Unit has been reset the data sets under that provider unit will be visible Using SNAPshot V3 8 to collect AROC Dataset Page 21 Australian Health Services Research Institute Figure 9 After resetting the Facility and Provider Unit SNAPshot 3 83 C Main Provider Unit PU1001 Facility X245 File Edit Main Provider Unit PU1001 Facility X245 J Patient 31 MRN MAN PatName DOB a jEPisode Provunit__ gt m i Clarke Libby Patient Jordan Cassandra 12 01 1971 Clinical Rehab GEM 0670171934 10 x B208 Health Service C202 Health Service AROCDatase Kennedy Martha 05 11 1916 D200 Health Service D213 Health Service Belmont Rosemary 09705 1904 Ingham Jane 22 07 1938 C Chappell Chris 14 10 1930 Maint RUG K751 Health Service N204 Health Service Eastern Health Service Jensen Kate 30 04 1918 MH Westem Health Service AdultHoNOS jesetweonwJane 10270871940 AdutLSP Kellett Joan 1103 1927 AdultMHI 123 Health Service McCabe Helen 16 01 1917 ChildMH Rossitor Deidre 25 01 1902 SnapClass ShepardGeraldne s11071812 Jory Gavel Can Ada Del Group Resat 0370372009 Nugent Nora 29 12 1912 WardT eam Knowles Kay 03 06 1928 OwensJane 15 04 190
6. 14 3 Spinal Cord spinal cord caudaequina spinal nerve root major plexus or multiple roots Multiple Fracture Amputation 14 9 Other Multiple Trauma 15 DEVELOPMENTAL DISABILITY USE for patients who have significant intellectual disabilities mental retardation Do NOT use for cases of cerebral palsy These should be classified to CEREBRAL PALSY 3 5 AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group DEVELOPMENTAL 15 1 Developmental Disability DISABILITY Using SNAPshot V3 8 to collect AROC Dataset Page 42 Australian Health Services Research Institute 16 RE CONDITIONING RESTORATIVE USE for cases with generalized deconditioning not attributable to any of the other Impairment Groups eg where deconditioning is due to a cardiac disorder classify as 9 2 where deconditioning is due to pulmonary insufficiency classify as 10 2 AROC AROC Impairment Impairment Aetiologic Diagnosis Group Group Code RECONDITIONING 16 1 Muscular wasting and disuse atrophy RESTORATIVE Re conditioning restorative not elsewhere classified following surgery 16 2 Re conditioning restorative following medical illness Unspecified disorder of muscle ligament and fascia Chronic fatigue syndrome Other malaise and fatigue 16 3 Cancer rehabilitation Deconditioning as a result of cancer or treatment for cancer Using SNAPshot V3 8
7. 3 83 C Main Provider Unit PU1001 Facility X245 Main Provider Unit PU1001 Facility X245 Patient 31 MRN Patient MAN PatName DOB a jErisode Version Jensen Kate 30 04 1918 Clinical 3 83 Aitchison Jane 02 09 1940 20004833 Kellett Joan 11 03 1927 20005249 McCabeHelen 16 01 1917 _ 20005605 Rossitor Deidre 25 01 1902 20005629 Shepard Geraldine 31 10 1912 __ 20006439 Nugent Nora 29 12 1912 AdutHonos ID _ 20006489 Knowles Kay 03 06 1928 AdultLSP 20007462 Owens Jane 15704 1909 AdultMHI __ 20007612_ Gumey Elsie 13 01 1926 ChildMH 20008519 Reid Loma 10709 1305 _ 20009200 Owens Jackie 24 01 1925 _ Inlier Cost Weight 20008313 Vickers Josie 15 10 1902 putter Cost Weight 20009489 Kane Kate 19 10 1908 Member C sical TAD __ 20009812 Armstrong Gillian 07705 1340 Epo Di xl _ 20090101 Joseph Mary 09 01 1944 i _ 20090201 Bartholemew John 14 02 1940 20030301 Anthony Chis 17 11 1969 gt 20090401 Moss Graeme 02 02 1958 _ 20090501 Christian Claire 04 01 1975 20030601 Doyle Karen 03 11 1949 20090701 Lynch Bert 28 09 1935 _ 20090801 SawyerJoanne 13 07 1986 Nsrar Sheila NA NR 1926 SysBeg__ SysEnd_ 01 01 1999 31 12 2007 upable see status code 310 Field error Impairment Integer
8. DV AAss MDE DVARev MD System ProvUnit lt Facility EpiS0D ay UserT able ImpDetail Import UserDef Initially at setup Facilty Screen Provider Unit Screens primarily used for entering AROC data Patient screen Episode screen AROCAmbualtory Most screens contain more data fields than those required by the AROC Ambulatory Clinical dataset Non AROC dataset fields do not need to be completed for AROC reporting purposes Facilities may choose to complete additional items such as client names and telephone number for their own information or benefit These fields will not be extracted or used by AROC As well as the AROC business rules you will need to follow local business rules as to which data items need to be completed as your facility may be using the data collection for local reporting purposes or to satisfy other data collection needs such as HACC ACAP Using SNAPshot V3 8 to collect AROC Dataset Page 7 Australian Health Services Research Institute 2 2 Default settings mapped fields and Auto responses Some fields can have a default value set to the most common response within your facility For example Case Type can be set to default to Rehabilitation 2 This saves time when entering data and can be over written if required To set up or change your default settings go to the Facility Screen Many data items such as Mode of Episode Start are mapped or copied from o
9. Health Service Development University of Wollongong 2007 SNAPshot web page http ahsri uow edu au chsd snapshot index html AROC website http ahsri uow edu au aroc index html The AROC DataMatters newsletter available from the above website contains occasional tips and feedback for SNAPshot users It is strongly recommended that SNAPshot users obtain some training prior to using SNAPshot to collect the version 1 AROC Ambulatory Clinical dataset 1 1 1 What is SNAPshot SNAPshot is software designed primarily to collect SNAP Sub Acute and Non Acute Patient information It has been used since 1996 SNAPshot has been modified for a range of applications including collecting the ACAT ACAP DVA AROC PCOC and HACC Minimum Data Sets SNAPshot has not been specifically designed to collect the AROC Data Sets Information required for AROC is therefore entered into a number of different screens Information relevant to AROC is then mapped or copied into the AROC AmbulatoryDataset Screen Some data fields can also be set to default to the most common code or response for your facility to save time in data entry 1 1 2 Logging on to SNAPshot e Opening SNAPshot Double click on the SNAPshot shortcut on your desk top Shortcut to SNAPshot Or click Start Programs SNAPshot e When SNAPshot opens a pop up will also open telling you how many Episodes have been open for 90 days or more The location of yo
10. admission to the rehab program There are 16 groups of impairment codes refer Table 2 and Table 3 AROC Impairment Coding Guidelines Episode Start Lawton s score Item 34 Enter the Australian Modified Lawton s Score on admission to ambulatory rehabilitation 1 Telephone range 1 4 Shopping range 1 4 Food preparation range 1 4 Housekeeping range 1 4 Laundry range 1 4 Responsibility for own medications range 1 3 Ability to handle finances range 1 3 Date Episode start Lawton s assessed Item 35 3 4 5 6 Mode of transportation range 1 4 7 8 E nter the date of assessment in format DD MM YYYY Episode Finish Lawton s score Item 36 Enter the Australian Modified Lawton s Score on discharge from ambulatory rehabilitation 1 Telephone range 1 4 Shopping range 1 4 Food preparation range 1 4 Housekeeping range 1 4 Laundry range 1 4 Mode of transportation range 1 4 DPN Using SNAPshot V3 8 to collect AROC Dataset Page 14 Australian Health Services Research Institute Snapshot field AROC data item Description 7 Responsibility for own medications range 1 3 8 Ability to handle finances range 1 3 Date Episode Item 37 Enter the date of assessment in format DD MM YYYY finish Lawton s assessed Comment optional An optional comment relevant to this episode of care Up to 50 characters can be entered for example if th
11. employed or unemployed as defined They include persons who were keeping house unpaid retired voluntarily inactive permanently unable to work persons in institutions hospitals gaols sanatoriums etc trainee teachers members of contemplative religious orders and persons whose only activity during the reference week was jury service or unpaid voluntary work for a charitable organisation Using SNAPshot V3 8 to collect AROC Dataset Page 31 Australian Health Services Research Institute Appendix 6 AROC Impairment Coding Guidelines The aim of these guidelines is to assist in correctly classifying a rehabilitation episode according to impairment groups There are 2 over riding rules that need to be considered when using these guidelines 1 The episode should be classified according to the primary reason for the current episode of rehabilitation care 2 Rehabilitation program names related to funding are not necessarily the same as the impairment group names eg a patient in a debility reconditioning funding program may be having rehabilitation due to deconditioning related to a cardiac disorder this episode should be classified to 9 2 Chronic cardiac insufficiency not to 16 Re conditioning restorative Please note that the examples of aetiologic diagnoses that underpin each impairment which are provided under each impairment group are not exhaustive 1 STROKE USE this group for cases with the diagnosis of cerebral ische
12. only needs to be collected if Item 14 Date of Onset is 1 Less than one month unknown or 2 1 month to less than 3 months applicable 3 3 months to less than 6 months 4 6 months to less than 1 year 5 1 year to less than 2 years 6 2 years to less than 5 years 7 5 years or greater 9 unknown First admission Item 16 Identify if this is the first rehabilitation admission for this for this impairment previous rehabilitation programs may have impairment been inpatient or ambulatory and may have been recently or some time ago 1 Yes 2 No Type of Item 21 Enter the code for the type of accommodation the patient accommodation will be living in during this episode of ambulatory during episode rehabilitation Where accommodation is private residence only answer Code 1 if the same address as for item 17 usual accommodation For private residence but different address to usual accommodation please specify reason for change using either Code 2 3 or 4 1 Pre impairment accommodation same address as Item 17 2 Interim accommodation due to geographical access Using SNAPshot V3 8 to collect AROC Dataset Page 13 Australian Health Services Research Institute Snapshot field AROC data item Description issue may be private residence hostel or nursing home 3 Interim accommodation due to increased support required may be private residence hostel or nursing home 4 Other Level of
13. the data sets that you can edit When you click on a data set name such as Patient or AROCAmbulatory the fields for the data set are displayed in the EditView segment For some data sets such as Facility when you make the selection a list will appear in the MultiList segment and the currently selected facility record will appear in the EditView 1 2 1 Transactions As described above all database transactions are performed in the EditView segment and include Add which is used to insert a new record of the type currently displayed in EditView Del which is used to delete the record currently displayed in EditView Save which is used to save the record currently displayed in EditView Cancel which is used to discard changes you have made to the record currently displayed in EditView Reset which is used to re select all lists when you change provider unit or facility but which can also be used to refresh the data currently being displayed to reflect any changes made by other users When you are editing a data set the SetList will disappear and the message Edit will appear 1 3 General Editing Controls To edit an existing record in EditView simply click on the relevant field and enter data If you are moving from field to field F2 can be used to put you into field edit mode If there are multiple columns you can use Tab or Shift Tab to move right and left or you can use the left and rig
14. to collect AROC Dataset Page 43
15. 1 Using SNAPshot V3 8 to collect AROC Dataset Unilateral hip replacement Bilateral hip replacement Unilateral knee replacement Bilateral knee replacement Knee and hip replacement same side Knee and hip replacement differrent sides Shoulder replacement or repair Post spinal surgery includes nerve root injury laminectomy spinal fusion discectomy excludes spinal cord injury or caudaequina Other orthopaedic surgery Following recent onset of new cardiac impairment AMI heart transplant cardiac surgery Chronic cardiac insufficiency Heart and heart lung transplant Chronic Obstructive Pulmonary Disease Lung Transplant Other Pulmonary Burns Page 27 Australian Health Services Research Institute 12 13 14 15 16 CONGENITAL DEFORMITIES 12 1 Spina Bifida 12 9 Other Congenital OTHER DISABLING IMPAIRMENTS 13 1 Lymphoedema 13 2 Other Disabling Impairments cases that cannot be classified into a specific group This classification should rarely be used MAJOR MULTIPLE TRAUMA excludes multiple fractures only 14 1 Brain Spinal Cord Injury 14 2 Brain Multiple Fracture Amputation 14 3 Spinal Cord Multiple Fracture Amputation 14 9 Other Multiple Trauma DEVELOPMENTAL DISABILITIES excludes cerebral palsy includes patients who have significant intellectual disabilities 15 1 Developmental Disabilities RE CONDITIONING RESTORATIVE excludes primary cardiac insufficiency or primary pulmonary ins
16. 4 1908 Wendl eam Megh T urey Ere AASA Members Fasi kaoson I a Fan Rodions TONA soe gt Atemae aciity Code Cari Ben er MALTS E panirti O Prat S Veken Jove S101 S00 con Deina Caio Type A anaga mh eee Veet ed el Osim Epod Type 4 Commnsdy parr TGF imung iia OFA EMO aa Osima Care Model Poet core Fpi nomos comph td ary Cant tad cae Orima Marey Hoste Serve Piychogennarj H Bathine John aAA 540 Admiri iiaa Deim rsesimart Type Meche at mth dapon patna wsio mgri m p freeny hes Ate MACENDS maf Mens Ge coer RAD A ACAT AGIM iois O estan Clase 0071395 ALAVMOSI NTE RITE Tirna irr vitae La frenan tacana OV Aas MDI MiA ema Sy ew verted Episode List CORD ay Use T atte wegl ot a rom Ustet oA sa 01701 72000 O11 700 1 An oo Using SNAPshot V3 8 to collect AROC Dataset Page 4 Australian Health Services Research Institute 1 1 3 1 Moving Around the Main Screen Point and click with the mouse to move to another field or another part of the screen Or use the following short cut keys Use the F6 key to move from one part of the Main Screen to another Use the Enter or Tab keys to move to the right or down to the next field Use the Shift Tab key to move to the left or up to the previous field See Appendix 1 for a complete list of short cut keys 1 1 3 2 Different parts of the screen Patient List The Patient List displays the Name Date of Birth an
17. 6 9 Double Lower Amputation Below the Knee Partial Foot Amputation includes single double Other Amputation Rheumatoid Arthritis Osteoarthritis Other Arthritis 7 PAIN SYNDROMES 7 1 7 2 7 3 7 4 7 5 7 9 Neck Pain Back Pain Extremity Pain Headache includes migraine Multi site pain Other Pain includes abdominal chest wall 8 ORTHOPAEDIC CONDITIONS Fracture includes dislocation excludes neurological involvement 8 111 8 112 8 12 8 13 8 141 8 142 8 15 8 16 8 17 8 19 Fracture of hip unilateral includes NOF Fracture of hip bilateral includes NOF Fracture of shaft of femur excludes femur involving knee joint Fracture of pelvis Fracture of knee includes patella femur involving knee joint tibia or fibula involving knee joint Fracture of lower leg ankle foot Fracture of upper limb includes hand fingers wrist forearm arm shoulder Fracture of spine excludes where the major disorder is pain Fracture of multiple sites multiple bones of same lower limb both lower limbs lower with upper limb lower limb with rib or sternum Excludes with brain injury or with spinal cord injury Other orthopaedic fracture includes jaw face rib orbit or sites not elsewhere classified Post Orthopaedic Surgery includes secondary to fracture or arthritis 8 211 8 212 8 221 8 222 8 231 8 232 8 24 8 25 8 26 9 CARDIAC 9 1 9 2 9 3 10 PULMONARY 10 1 10 2 10 9 11 BURNS 1
18. 9 Gumey Elsie 13 01 1926 Reid Loma 10 09 1909 Owens Jackie 2470171925 VickersJosie 15 10 1902 Kane Kate 19 10 1903 _ 20090201 Armstrong Gillian 07 05 1940 Joseph Mary 09 01 1944 Bartholemew John 14 02 1940 nnan3nt Anthann Chris TATA ZI PatClaRR EpiCl4AR Episode 0 DVAAss MDS Episode 0 Begdate CT ET EpisiD EndDate DVARev MD System Staff 20 StaffCode Statt StaffName_ StaffiD StDate Ses p 1000 Daly 1 01 01 2000 1 5 SNAPclass status codes When you attempt to assign a SNAPclass to a record either by performing a bulk group operation refer to 3 2 Assigning an AN SNAP class to your episodes above or by selecting SNAPclass in the setlist and hitting the group button for individual records SNAPshot will assign a status code to the record These status codes can be viewed by record in the SNAPclass screen and a summary of all the ungroupable records that is those records with a status code other than 100 can be found in the Database Summary report number 19 Easter Health Service Refer to Table 7 below to determine how best to correct the problem Table 7 SNAPclass status codes and suggested resolutions to field errors Status Description Suggested resolution Code 100 Grouping OK No action required 301 Field error CaseType Check Case Type refer to the AN SNAP clinical training handbook for business rules 302 F
19. C AROC Impairment Impairment Group Code Group FRACTURE 8 111 Fracture of Hip includes NOF unilateral 8 112 Fracture of Hip includes NOF bilateral 8 12 Fracture of shaft of excludes femur involving knee joint femur 8 13 Fracture of pelvis 8 141 Fracture of knee includes patella femur involving knee joint tibia or fibula involving knee joint 8 142 Fracture of lower leg ankle foot 8 15 Fracture of upper limb includes hand fingers wrist forearm arm shoulder 8 16 Fracture of spine excludes where the major disorder is pain 8 17 Fracture of multiple multiple bones of same lower limb sites both lower limbs lower with upper limb lower limb with rib or sternum Excludes with brain injury classify to 14 2 or with spinal cord injury classify to 14 3 8 19 Other orthopaedic includes jaw face rib orbit or sites not fracture elsewhere classified Post Orthopaedic Surgery USE this group for cases where the orthopaedic surgery involved the revision or repair of previous orthopaedic surgery Do NOT use this group when orthopaedic surgery is part of acute fracture management These should be classified to 8 111 8 19 AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group POST 8 211 Unilateral hip Psoriatic arthropathy ORTHOPAEDIC replacement Pyogenic arthritis SURGERY Rheumatoid arthritis 8 212 Bilateral hip replacement Juvenile chronic polyarthrit
20. IONS USE this group for cases with neurologic or neuromuscular dysfunctions of various aetiologies AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group NEUROLOGIC 3 1 Multiple Sclerosis Multiple Sclerosis CONDITIONS 3 2 Parkinsonism Parkinsonism 3 3 Polyneuropathy Hereditary and idiopathic peripheral neuropathy Peripheral neuropathy inflammatory toxic traumatic or other Brachial plexus or lumbosacral plexus injury 3 4 Guillain Barr Syndrome Acute inflammatory polyneuritis 3 5 Cerebral Palsy Infantile cerebral palsy 3 8 Neuromuscular Disorders Post poliomyelitis post polio syndrome Motor neurone disease Myasthenia gravis Muscular dystrophies and other myopathies 3 9 Other Neurologic disorders Other extrapyramidal disease and abnormal movement disorders Spinocerebellar disease Disorders of the autonomic nervous system Other demyelinating diseases of the central nervous system Using SNAPshot V3 8 to collect AROC Dataset Page 34 Australian Health Services Research Institute 4 SPINAL CORD DYSFUNCTION USE this group only if there is a spinal cord caudaequina dysfunction Do NOT use this group for post spinal surgery unless the surgery has resulted in dysfunction of the spinal cord caudaequina Non traumatic Spinal Cord Dysfunction USE this group for cases with quadriplegia paresis and paraplegia pare
21. TION subarachnoid haemorrhage 2 12 Anoxic brain damage 2 13 Other non traumatic brain dysfunction Anoxic brain damage Anoxic hypoxic encephalopathy Encephalitis Meningitis Neoplasm tumour of brain or meninges malignant or benign includes secondary tumours Neoplasm tumour of cranial nerves Intracranial abscess Hydrocephalus Toxic encephalopathy Traumatic Brain Dysfunction USE this group for cases with motor and or cognitive disorder secondary to brain trauma Definition A closed head injury is defined as an injury where the meninges remain intact includes a linear fracture of the skull AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group BRAIN 2 21 Traumatic open Skull fracture DYSFUNCTION injury Cerebral laceration and contusion with open intracranial wound Subarachnoid subdural extradural and other unspecified haemorrhage following injury Other and unspecified intracranial haemorrhage following injury BRAIN 2 22 Traumatic closed Linear skull fracture DYSFUNCTION injury Concussion Cerebral laceration and contusion Subarachnoid subdural extradural and other unspecified haemorrhage following injury Other and unspecified intracranial haemorrhage following injury Using SNAPshot V3 8 to collect AROC Dataset Page 33 Australian Health Services Research Institute 3 NEUROLOGIC CONDIT
22. YYYY Mode of episode end Item 30 Discharge case closure Died Admitted to hospital as sub acute non acute inpatient Admitted to hospital as acute inpatient Change of care type within sub acute non acute care Change of episode type between same day admitted outpatient and community H Discharged at own risk Oe Accommodation post discharge Item 31 Enter the code for the type of accommodation that the client will be living in after discharge 1 Private residence inc unit in retirement village Residential aged care low level care hostel Residential aged care high level care nursing home Community group home Boarding house Transitional living unit Other NOoR Wh Support provided at episode end Required if response to item 31 was 1 private residence Item 32 Enter the code for the level of support that the client received at episode end Lives alone no support care provided Lives with others no support care provided Lives alone with external support s Lives with others who provide support care Lives with others with external support s Other arrangements Not stated inadequately described ORMRWN WardTeam Items 3 amp 4 Enter the code for the program or team set up in Ward Team screen you wish to allocate to this episode Using SNAPshot V3 8 to collect AROC Dataset Page 12 Australian Health Services Research Institute O
23. __ Default Case Type 2 Rehabilitation __ Default Episode Type 4 Community patient __ Default Care Model 1 Direct care __ Default Mental Health Service 3 Psychogeriatric _ Default Assessment Type 1 Medical with diagnostic pathology and or imaging __ Default HACC Eligible _____Episode 0 pvanssqups _ Defaut Service delivery setting Eeoae et Et EpisiO Jenddate_ _ ovarevio Defaut Funding source __ Default AN Snap version 2 AN Snap 2 __ Default Assessment Only __ Detault Provider Type UserTable Staff 20 StaffCode Statf__ StaffName stiDate 1 01 01 2000 1 p 1000 Daly Once the Facility has been reset the Facility wide data items will be visible Using SNAPshot V3 8 to collect AROC Dataset Page 20 Australian Health Services Research Institute Figure 8 Resetting the Provider Unit Pshot 3 83 C Main Provider Unit B208HS Facility X245 Episode Clinical B208HS B208 Health Service pera BEN C202HS C202 Health Service D20045 D200Health Serice AROCAmbule f D21345 D213 Heath Service Falcao JK751HS K751 Health Service N204HS N204 Health Servi Maint RUG F PU100 Eastern He sth Senn C Pu1002 Wester Health Servich X123 Health Service AdultLSP AdultMHI ChildMH SnapClass PrivRehab Staff WardTeam Members Epigos StaffO0S GenTime Path Imag Drug Equip AdminStatus HACCMDS ACAT AGS M ACATMDS2
24. ale australian health services research institute Using SNAPshot V3 83 to collect the version 1 AROC Ambulatory Clinical Dataset aroc Australasian Rehabilitation Outcomes Centre Australian Health Services Research Institute 5 UNIVERSITY OF WOLLONGONG February 2011 V3 83 updated version Frances Simmonds Tara Stevermuer Jodie Tazelaar Molinia Elizabeth Cuthbert Jacquelin Capell Suggested citation AROC 2009 Using SNAPshot V3 83 to collect the version 1 AROC Ambulatory Clinical Dataset Australian Health Services Research Institute University of Wollongong Australian Health Services Research Institute Table of Contents TABLE OF CONTENTS 1 LIST OF TABLES 2 LIST OF FIGURES 2 1 PURPOSE OF THIS GUIDE 3 1 1 More information 3 1 1 1 What is SNAPshot 3 1 1 2 Logging on to SNAPshot 3 1 1 3 The Main Screen 4 1 1 4 Making changes or additions 5 1 2 General Operations 6 1 2 1 Transactions 6 1 3 General Editing Controls 6 1 3 1 Entering information into data fields 7 2 ENTERING CLIENT INFORMATION 7 2 1 Client information for AROC Ambulatory is mainly entered into SNAPshot in 3 screens 7 2 2 Defaul
25. ase refer to either the SNAPshot V3 8 Manual or to 3 1 3 above The file can now be uploaded to AROC via AROC Online Services AOS note that the extract contains client MRN and date of birth but does not include any other identifying data items Using SNAPshot V3 8 to collect AROC Dataset Page 16 Australian Health Services Research Institute Figure 4 Extracting the AROC data Report DB Je SnapShot382e RepDB mdb Compact Extract Folder Je SnapEntract gq r Reports r Selection criteria 1 HENDSCA Change ProvUnit Class pooo is Daas Facility x245 __ A T Common SNAP Classes MRN i years ube Ne aca 3 From Sepn Date Gn after BegDate se Srna ih rust Report To Sepn Daaf F Include no end date 7 Mating AOE Poids Report CaseT ype 28 ACHS Rehab Med Clinical Indicat Epis Type Heal Purch fT Siea Extract Care Model Asaia No EZ AAT AS ete potcte Rewo e AN SHAP HCP To Extract Ward T eam Data Coll o 57 AROC Inpatient Extract Consultant Agency ZEG MDE Ea Case Manager 60 PCOC Extract J Patient page throw Se UAC OCOnNoOTC z 3 1 6 The Generate button When you press the Generate button you can see where the generated extract will be found once the command has been completed Figure 5 Dialogue box showing file route for data generated by the AROC Ambulatory Extract report Snap h
26. ble to order and search by HACC statistical key HACCKey however this is not relevant to the AROC data collection Press the F7 key to reorder the list of clients by MRN or Name as preferred To search by Name order the patient list by name Type the family name the whole name or the first few letters The letters you type will appear immediately to the right of the name in the caption bar Press the F7 key Choose from the Options Window in Figure 10 Figure 10 Searching for a client record Options select button below x Current find text you Clear find text to enable sort order to be selected by pressing F7 Find first Name containing you Find next Name containing you Clear find text you Cancel operation Alternatively press Shift F7 at the same time Snapshot will automatically search for the first record that matches your selection If the first record found is not the required one press F7 and choose the option Find next Name containing To search by MRN type the required MRN and follow the same procedure as for searching by Name Using SNAPshot V3 8 to collect AROC Dataset Page 25 Australian Health Services Research Institute Appendix 3 AROC Impairment Codes AUS Version 1 1 STROKE 1 1 Left Body Involvement Right Brain 1 2 Right Body Involvement Left Brain 1 3 Bilateral Involvement 1 4 No Paresis 1 9 Other stroke 2 BRAIN DYSFUNCTION Non traumatic brain dysfunct
27. d Medical Record Number MRN of the clients that have been registered by your facility Episode List The Episode List shows each of the Episodes that have been opened for the client selected in the Patient List The Episode List displays the date the episode commence BegDate the Case Type CT the Episode Type ET the Episode Identifier EpisID and the date the episode ended EndDate if applicable Staff List The Staff List shows the staff registered in your facility by Staff Number Staff Staff Name StaffName Staff Id used internally by SNAPshot Commencement Date StfDate and Session Type Ses which is used to identify either individual or group staff records Set List The Set List shows all the different data sets contained within SNAPshot The data set selected in the Set List is displayed in the Edit View window Once selected it is possible to make changes or additions to that data set Multi List The Multi List contains various lists depending on the data set currently selected For example in ambulatory care settings if the EpiOOS data set is selected the multi list will show the occasions of service entered for the client selected in the patient list Edit View The Edit View is where information is added deleted edited or updated for the various data sets If the patient data set is selected from the set list then all of the fields for the patient data set are displaye
28. d in the edit view This allows changes to be made to this data set 1 1 4 Making changes or additions The Edit View The Edit View refer to 1 1 3 2 above is where information is added deleted with due care edited or updated for the various data sets Figure 2 Transaction buttons at the top of the Edit View screen Save Can Add Del Group Reset 26 02 2009 fi __ Patient identifier Provider unit Using SNAPshot V3 8 to collect AROC Dataset Page 5 Australian Health Services Research Institute Choose the data set that you want to make changes or additions to from the set list Click Add to create a new record in the data set Click Save to save a record that you have added or changed Before you can save a record you must move the cursor out of the field that you have changed by hitting the Enter or Tab key or by using the mouse to click in another field Click Cancel to cancel any changes that you have just made Click Delete if you want to delete a record from the data set A warning message will ask you if you are sure that you want to delete the record The Reset button is used to select a different Facility and Provider Unit it may also be necessary to re select the facility and provider unit after the database has been moved or restored The Group button is used to group the data into an appropriate SNAP class refer to 3 2 below 1 2General Operations The SetList segment lists all of
29. data set from the Set List The Episode Admin Details Screen will now be displayed in the Edit View 3 Click on Add a new Episode Record will be opened in the Edit View 4 Complete the fields as explained in Table 5 below Using SNAPshot V3 8 to collect AROC Dataset Page 10 Australian Health Services Research Institute Table 5 Definitions for fields relevant to AROC Ambulatory in the Episode Data Set Snapshot field AROC data item Description Episode begin date Item 19 Enter the date of the clients admission to an ambulatory rehabilitation program in format DD MM YYYY Case type Not collected Enter the code for case type assigned on admission For the AROC Ambulatory data collection this will always be 2 Rehabilitation and can be defaulted The SNAPshot software requires this field to be completed to enable the record to be saved Episode type Item 25 Enter the code for the client s episode type Admission may be to a rehabilitation program in a centre based outpatient or community based setting For the AROC Ambulatory data collection choose from options 2 3 or 4 2 Same day admitted patient Patient is admitted and discharged on the same date 3 Outpatient Patient receives care in a hospital outpatient clinic 4 Community Patient Patient receives care in the home or other non hospital site The SNAPshot software requires this field to be completed to enable t
30. e patient is unusually young or old you could note that the DOB had been confirmed Once all information on the screen has been entered click Save 3 Data extraction and reporting 3 1 The Report Database and AROC Inpatient extract To display the Snap Report dialog screen press Shift F8 whilst positioned on any of the data lists The Snap Report dialog screen provides the following controls 1 The location and name of the report database 2 The location and name of the folder into which extracts will be placed 3 A list of reports click on the report you wish to generate 4 Selection criteria enter the values you wish to use to select particular subsets of the database 5 A page throw option which is enabled for some reports to allow you to specify that the data for each patient is to commence on a new page 6 Operation buttons Generate and Exit 3 1 1 The Report Database When you generate a report the data are written into an Access database which is different from the main database Each user PC should have a separate report database preferably on the local hard disk drive If the report database has to be stored on a server computer each user should have a different file Typically this file is called RepDB mdb and is located in C SNAPshot however you can change this When you change the report database name Snap will either select an existing file or if it does not exist will c
31. ets in the Set liSt cccccccseeeseeceeeeeeeaeeeeeaeeeeeeeceaeeeeaaesneneeseaeeesaeeseaaeeeaneesaas 7 Figure 4 Extracting the AROG data ccscceeeceeceeeceeeeeeeeeeeeeeeeeceaeeeeaaeseeneecaeescaaesgeaeeseaeeeseaeeesaaeseeneessaees 17 Figure 5 Dialogue box showing file route for data generated by the AROC Ambulatory Extract report17 Figure 6 Bulk assigning an AN SNAP class and the version Option cccccceeeeseceeeeeseeeeeeeeeeeeeees 19 Figure 7 Resettinig the Facility cic ciccienscccvsdscceete steed ascend sce dee da eben sci E A 20 Figure 8 Resetting the Provider Umt issisarnira a E 21 Figure 9 After resetting the Facility and Provider Unit eeecceeeeesneeeeenneeeeeeaeeeeeeaaeeeeeeaeeeeeeaeeeeeeaas 22 Figure 10 Searching for a client record cececececeeeeeeeceeeee cece eeeeaeeeeaaeseeeeeeeaeeesaaeeeeaeeseeeeeseaeeeeaeeseeeseeeeees 25 Australian Health Services Research Institute 1 Purpose of this guide This is a guide for clinicians and data entry workers using SNAPshot software to collect the AROC Version 3 Data Set 1 1 More information For information about how to use SNAPshot please refer to the user s guide available on the SNAPshot 3 83 CD or download from the CHSD SNAPshot webpage and or the user s guide specific to the AROC Ambulatory data collection also on this CD and on the AROC website Detailed information on AROC and SNAPshot is available from SNAPshot 3 8 User Manual Centre for
32. h e Jl Data for 11 episodes for AROCAmb written into c SnapExtract AROCAmbulatoryStLukes20090303V3 83 TXT Using SNAPshot V3 8 to collect AROC Dataset Page 17 Australian Health Services Research Institute 3 1 7 Uploading your AROC data extract file to AROC via AROC Online Services Currently the AROC data extract is submitted to AROC via email to aroc uow edu au An error check is run on all submitted data and an acknowledgment email with an audit report attached is sent to the provided email addresses In the future the AROC data extract will be submitted to AROC using AROC Online Services AOS for which you will need your facility s UserName and Password All facilities submitting data to AROC will be informed when this functionality becomes available The process will then be as follows To submit your data to AROC log in to AOS and click the lt Upload Data gt button on the main menu Click on lt browse gt select the file that is your most current AROC extract from the c SnapExtract folder then press lt submit gt You will be asked to confirm the file you selected is the correct data to be submitted to AROC AOS determines the AROC dataset version from your extract file name this is why it is important not to change the filename given to your extract by SNAPshot If the file selected is correct press the lt Next gt button to go to the Upload AROC dataset Audit screen Check the email address listed is correct add u
33. he record to be saved Assessment only Item 12 If the client was seen on one occasion only for assessment and or treatment and no further intervention by this facility team is planned within the next 90 days he she is classified as assessment only Enter the code indicating whether the patient was seen for assessment No Mode of episode start Item 20 2 s R Transferred from the emergency department S Referred by General Practitioner T Referred direct from Specialist rooms U Referred by Therapist V Transferred from Acute Inpatient Care same hospital W Transferred from Acute Inpatient Care different hospital X Transferred from Sub Acute inpatient care same hospital Y Transferred from Sub Acute inpatient care different hospital Z Other Type of usual accommodation prior to admission Item 17 Can also be entered in patient screen if previously entered maps to this screen Enter the code for the type of accommodation that the client lived in prior to a any acute admission leading to this episode of ambulatory rehabilitation or b any inpatient rehabilitation leading to this episode of ambulatory rehabilitation where there was no acute hospital admission or c this ambulatory episode where there was no a or b Private residence including unit in retirement village Residential aged care low level care hostel Residential aged care high level care nursing home Co
34. hritis Chronic post rheumatic arthropathy 6 2 Osteoarthritis Osteoarthritis and allied disorders 6 9 Other Arthritis Psoriatic arthropathy Scleroderma Systemic lupus erythematosus Systemic sclerosis Dermatomyositis Polymyositis Pyogenic arthritis Other and unspecified arthropathies Fibromyalgia Ankylosing spondylitis 7 CHRONIC PAIN USE this group for cases in which the primary purpose for this rehabilitation episode is pain management Do NOT use this group if pain management is only one component of the patient s rehabilitation program These should be classified to the group representing the primary impairment AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group PAIN 7 1 Neck Pain SYNDROMES Various aetiologies 7 2 Back Pain 7 3 Extremity Pain 7 4 Headache includes migraine 7 5 Multi site pain 7 9 Other Pain includes abdominal chest wall Using SNAPshot V3 8 to collect AROC Dataset Page 38 Australian Health Services Research Institute 8 ORTHOPAEDIC DISORDERS USE this group for cases in which the major disorder is post fracture of bone or post arthroplasty joint replacement Fracture includes dislocation USE when joint replacement arthroplasty or hemiarthroplasty is part of the fracture treatment eg if rehabilitation follows a hip replacement for hip fracture ARO
35. ht arrow keys To move up and down use the up down arrow keys Before you can press the Save button to save changes you must move off the field you have just edited pressing the Enter key is fine otherwise you will receive an error prompt Date formats are flexible for example 01 Jan 2009 can be entered as 1 1 09 but it will be displayed as 01 01 2009 Note that separator character such as slashes or spaces must be entered The current year will be assumed eg 1 1 will convert to 01 07 2007 Using SNAPshot V3 8 to collect AROC Dataset Page 6 Australian Health Services Research Institute 1 3 1 Entering information into data fields Many fields such as Impairment code have a drop down list with a code for each item In these fields you can either type the code directly into the field or make a selection from the drop down list You can press Alt Down Arrow together to open the drop down menu for the data field that you are in 2 Entering client information 2 1 Client information for AROC Ambulatory is mainly entered into SNAPshot in 3 screens Figure 3 The AROC data sets in the set list Patient _ _ _ Episode 9 lt _ Clinical Rehab GEM AROCDatase PallCare PCOC Maint RUG MH AdultHoND AdultLSP AdultMHI ChildMH SnapClass PrivRehab Staff WardT eam Members Epi00s StaffOO0S GenTime Path Imag Drug Equip AdminStatus PatCl4RR EpiCl4RR
36. ield error EpisType Check Episode Type refer to the AN SNAP clinical training handbook for business rules 303 Field error Assessment Only Currently it is only possible to assign a SNAP class to Assessment Only for a Rehabilitation Episode 304 Field error Age Check date of birth rules now prevent non sensical DOBs but previous versions didn t apply any checks 305 Field error LOS Episode End Date needs to completed along with all Using SNAPshot V3 8 to collect AROC Dataset Page 22 Australian Health Services Research Institute Status Description Suggested resolution Code supporting episode end data 306 Field error ProvType Check Provider Type refer to the AN SNAP clinical training handbook for business rules 307 Field error Phase Check PallCare Phase refer to the AN SNAP clinical training handbook for business rules 308 Field error Severity Total For Ambulatory pallcare clients check valid values for Pain Symptom Pysch Spiritual Family carer scores within PallCare dataset 309 Field error RUG Admission Ensure that the RUG scores have been entered in the Total Maint RUG screen 310 Field error Impairment Integer Ensure that the Impairment Code has been entered in the Rehab GEM screen 311 Field error FIM Admission Ensure that the FIM motor scores have been entered in the Motor Score Rehab GEM screen 312 Field error FIM Admission Ensure that the FIM cognition sco
37. ion 2 11 Sub arachnoid haemorrhage 2 12 Anoxic brain damage 2 13 Other non traumatic brain dysfunction Traumatic brain dysfunction 2 21 Open Injury 2 22 Closed Injury 3 NEUROLOGICAL CONDITIONS 3 1 Multiple Sclerosis 3 2 Parkinsonism 3 3 Polyneuropathy 3 4 Guillian Barre Syndrome 3 5 Cerebral Palsy 3 8 Neuromuscular Disorders include motor neurone disease 3 9 Other neurologic disorders 4 SPINAL CORD DYSFUNCTION Non Traumatic Spinal Cord Dysfunction 4 111 Paraplegia Incomplete 4 112 Paraplegia Complete 4 1211 Quadriplegia Incomplete C1 4 4 1212 Quadriplegia Incomplete C5 8 4 1221 Quadriplegia Complete C1 4 4 1222 Quadriplegia Complete C5 8 4 13 Other non traumatic SCI Traumatic Spinal Cord Dysfunction 4 211 Paraplegia Incomplete 4 212 Paraplegia Complete 4 2211 Quadriplegia Incomplete C1 4 4 2212 Quadriplegia Incomplete C5 8 4 2221 Quadriplegia Complete C1 4 4 2222 Quadriplegia Complete C5 8 4 23 Other traumatic spinal cord dysfunction 5 AMPUTATION OF LIMB 5 1 Single Upper Amputation Above the Elbow 5 2 Single Upper Amputation Below the Elbow 5 3 Single Lower Amputation Above the Knee includes through knee 5 4 Single Lower Amputation Below the Knee 5 5 Double Lower Amputation Above the Knee includes through knee 5 6 Double Lower Amputation Above below the Knee Using SNAPshot V3 8 to collect AROC Dataset Page 26 Australian Health Services Research Institute 5 7 5 8 5 9 e ARTHRITIS 6 1 6 2
38. is Chronic post rheumatic arthropathy 8 221 Unilateral knee Osteoarthritis and allied disorder replacement Other and unspecified arthropathies Ankylosing spondylitis 8 222 Bilateral knee lt a replacement Mechanical complication of internal orthopedic device implant and graft Using SNAPshot V3 8 to collect AROC Dataset Page 39 Australian Health Services Research Institute Bone Lengthening 9 CARDIAC 8 231 Knee and hip replacement same side 8 232 Knee and hip replacement different sides 8 24 Shoulder replacement or repair Infection and inflammatory reaction due to internal orthopedic device implant and graft Other complications due to internal orthopedic or prosthetic device implant and graft Neoplasm of bone and articular cartilage Secondary neoplasm of bone 8 25 Post spinal surgery Includes nerve root injury laminectomy spinal fusion discectomy Includes spinal deformity surgery Excludes spinal cord caudaequina major nerve root dysfunction classify to 4 8 26 Other orthopaedic surgery Other and unspecified disorders of joint Pathologic fracture requiring surgical intervention Osteotomy USE for cases in which the purpose of this rehabilitation episode is to address poor activity tolerance secondary to cardiac insufficiency or general deconditioning due to cardiac disorder AROC AROC Impairment Impairmen
39. known Health fund other Item 24 If you entered the value 2 4 or 5 in item 23 you now payer need to specify the name of the funding organisation complete if 2 4 enter the appropriate code from the drop down list items or 5 entered in are grouped by Health Fund CTP Insurer and Worker s item 14 compensation insurer Fund Not collected If Episode is funded by private health insurance then Membership membership number is required by HCP number Update these fields in the episode screen if needing correction or if found missing when submitting to AROC DRON Once all information on the screen has been entered click Save 2 7 Entering information into the episode screen An Episode of Care is a sequence or period of care between a client Patient and a facility An Episode begins e On admission to a facility including change of case type An Episode ends e At discharge e When the main goal of the care changes that is the case type changes For example if the main goal of care case type changes from Rehabilitation to Maintenance Care the Rehabilitation Episode should be closed and a new Maintenance Episode commenced The Episode Screen contains information specific to that episode of care some of the information is mapped copied from the Patient screen Adding a new Episode Record 1 Highlight the required patient in the Patient List 2 Select the Episode
40. mia due to vascular thrombosis embolism or haemorrhage Do NOT use this group for 1 cases of brain dysfunction secondary to non vascular causes such as trauma inflammation tumour or degenerative changes 2 cases of subarachnoid haemorrhage These should be classified to BRAIN DYSFUNCTION 2 AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group STROKE 1 1 Left Body Intracerebral haemorrhage Involvement Right Brain Other and unspecified intracranial 1 2 Right Body haemorrhage Involvement Left Brain Occlusion and stenosis of precerebral 1 3 Bilateral Involvement arteries with cerebral infarction 1 4 No Paresis Occlusion of cerebral arteries with cerebral 1 9 Other Stroke infarction Acute but ill defined cerebrovascular disease Late effects of cerebrovascular disease Using SNAPshot V3 8 to collect AROC Dataset Page 32 Australian Health Services Research Institute 2 BRAIN DYSFUNCTION Non traumatic Brain Dysfunction USE this group cases with such aetiologies as neoplasm including metastases encephalitis inflammation anoxia metabolic toxicity or degenerative processes Do NOT use this group for cases with hemorrhagic stroke other than subarachnoid haemorrhage These should be classified to STROKE 1 AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group BRAIN 2 11 Non traumatic Non traumatic spontaneous berry aneurysm DYSFUNC
41. mmunity group home A oO Nc Using SNAPshot V3 8 to collect AROC Dataset Page 11 Australian Health Services Research Institute Snapshot field AROC data item Description 5 Boarding house 6 Transitional living unit 7 Other Support provided prior to admission Required if response to item 17 was 1 private residence Item 18 Enter the code for the level of support that the client received prior to any admission acute or sub acute leading to this episode of ambulatory rehabilitation Lives alone no support care provided Lives with others no support care provided Lives alone with external support s Lives with others who provide support care Lives with others with external support s Other arrangements 9 Not stated inadequately described oar wN Model of Care Not collected The type of care provided to the client SNAPshot recognises 6 Models of Care as listed below Typically for Rehabilitation patients this will be 1 Direct Care and this can be defaulted This item is a mandatory SNAPshot field it must be completed to enable the record to be saved 1 Direct care 2 1 GP Shared care 2 2 Shared care with another service provider 3 1 GP Consultation liaison 3 2 Consultation liaison with another service provider 3 3 Consultation liaison within the SNAP provider unit Episode end date Item 29 Enter the date of discharge from rehabilitation in the format DD MM
42. mnity GIO Workers Compensation NSW Royal amp Sun Alliance Workers Compensation CATHOLIC CHURCH INSURANCES LTD GUILD INSURANCE LTD INSURANCE COMMISSION OF WA Zurich Australia Insurance Ltd WESFARMERS FEDERATION INSURANCE LTD Territory Insurance Office ComCare Victoria Workcover Authority Unknown Using SNAPshot V3 8 to collect AROC Dataset Page 30 Australian Health Services Research Institute Appendix 5 Employment Status Inclusions Exclusions by code CODE1 Employed Persons aged 15 years and over who during the reference week a worked for one hour or more for pay profit commission or payment in kind in a job or business or on a farm comprising Employees Employers and Own Account Workers or b worked for one hour or more without pay in a family business or on a farm i e Contributing Family Worker or c were Employees who had a job but were not at work and were e onpaid leave e on leave without pay for less than four weeks up to the end of the reference week e stood down without pay because of bad weather or plant breakdown at their place of employment for less than four weeks up to the end of the reference week e on strike or locked out e onworkers compensation and expected to be returning to their job or e receiving wages or salary while undertaking full time study or d were Employers Own Account Workers or Contributing Family Workers who had a job busines
43. n click on Reset this button can be found in the middle of the right hand window refer to Figure 7 now highlight ProvUnit in the set list and click Reset again refer to Figure 8 At this point your data should magically reappear refer to Figure 9 If you have more than one Facility or Provider Unit you will need to also select the appropriate facility provunit in the multi list top right hand window Figure 7 Resetting the Facility SNAPshot 3 83 C Main Provider Unit B208HS Facility 245 Oj x File Edit Main Provider Unit B208HS Facility X245 Patient 0 HRN Fac IMRAN PatName DOB Facility Name EpisPrefix DefCaseType DefEpisT Facloqation AtFaciity 1 B208 Clinical B208 StJohn s _ q 1 Rehab GEM J C202 St Mark s 1 c202 1 AROCDatase J D200 St Paul s 1 D200 1 AROCAmbule J D213 St Rose s 1 D213 1 PallCare K751 _ StFre d s 1 K751 1 i 1 Pcoc L_ N204 _ St Anne s 1 N204 1 Maint RUG x123 St Lucy s 1 x123 1 F MH P x245 StLuke s 1 x245 1 2 4 AdultHoNOS x318 St Mary s 1 x318 1 Adult SP AdultMHI ChildMH SnapClass Saf Savel Can Add Del Group Resat 03703 2009 fT WardT eam 4 __ Facility Location 1 Australia __Altemate Facility Code x245 __ Episode ID Prefix 1
44. nce all information on the screen has been entered click Save 2 8 Entering information into the AROCAmbulatory screen Information about the client s ambulatory rehabilitation program of care is recorded in the AROCAmbulatory screen Adding a new AROCAmbulatory Record 1 Highlight the required patient in the Patient List 2 Select the AROCAmbulatory data set from the Set List The AROC Ambulatory data set details screen will now be displayed in the Edit View 3 Click on Add anew AROC Ambulatory Record will be opened in the Edit View 4 Complete the fields as explained in Table 6 below Table 6 Definitions for fields in the AROCAmbulatory screen Snapshot field AROC data item Description Employment Item 13 Enter the code for the patients employment status refer Status Appendix 5 for inclusions and exclusions by code 1 Employed 2 Not Employed 3 Not in Labour Force 9 Not stated inadequately described Date of Onset Item 14 Collect the date the impairment occurred that lead to this episode of ambulatory rehabilitation e g date of stroke amputation hip fracture elective joint surgery in the format DD MM YYYY Time Since Item 15 Enter the code for the timeframe from when the reason Onset for rehabilitation started affecting the patient s function e g time since arthritis flare up where the date of impairment is unkown or had an insidious onset this
45. ne Data Set to another This minimises double data entry Other data items such as the Episode Identifier are automatically generated Mapped or automatically generated fields are coloured blue They are read only and cannot be changed 2 3 Initial setup the facility screen The Facility Screen contains information to identify the facility it is set up once usually by the SNAPshot administrator at your site Table 1 Definitions for fields relevant to AROC in the Facility Data Set Snapshot field AROC data item Description Facility code Item 1 Enter a 4 character alphanumeric code for your facility This would normally be the code issued by the Department of Health Facility name Enter the name of your establishment 2 4 Initial setup the provider unit screen The Provider Unit Screen contains information to identify the provider unit it is set up once usually by the SNAPshot administrator at your site Typically there is a unique provider unit associated with each medical record system in practice this means that for each facility there will be one provider unit This information is not collected by AROC but it is required by the SNAPshot software Table2 Definitions for fields relevant to AROC in the Provider Unit Data Set Snapshot field AROC data item Description Provider unit Not collected Enter a 6 character alphanumeric code for your provider unit e g PU0001 Not collected Enter the name of
46. p to three more email addresses to also receive the acknowledgment and audit email from AROC for this data submission Click lt email audit report and submit the data gt button to submit your data to the AROC database All listed emails will receive an acknowledgment email from AROC with a data audit report as an attachment AROC will also be sent an email The audit email is your confirmation that AROC has received your data Using SNAPshot V3 8 to collect AROC Dataset Page 18 Australian Health Services Research Institute 3 2Assigning an AN SNAP class to your episodes If you wish to analyse your own data by AN SNAP class you should use the inbuilt grouper tool to assign a SNAP class to each episode of care This can be done either by selecting the SnapClass dataset and clicking on the Group button for each completed Episode SNAPshot defaults to the version 2 AN SNAP classes unless you specify within the facility screen to use version 1 AN SNAP classes or by bulk grouping all episodes in the database by holding down the lt shift gt key and Group then select Bulk group all episodes phases in the databases In this case SNAPshot asks if you would like to group to Version 1 or Version 2 AN SNAP classes NOTE From July 2007 AROC will do all reporting using AN SNAP version 2 classes Further information on Grouping can be found in the SNAPshot V3 8 Manual Figure 6 Bulk assigning an AN SNAP class and the version option SNAPshot
47. r CGA begin and end scores in ChildMH screen for child mental health episodes 325 Field error MHLS Ensure that the MH data items have been entered for mental health episodes 326 Field error HONOSCA Ensure that the age specific HONOS child adolescent Behaviour Score data items have been entered 327 Field error HONOSCA School Ensure that the age specific HONOS child adolescent Score data items have been entered 328 Field error HONOSCA Total Ensure that the age specific HONOS child adolescent Begin Score data items have been entered 329 Field error Factors Affecting Ensure that the age specific HONOS child adolescent Health Status Total data items have been entered 330 Field error Complete End Enter Episode end date and supporting episode end data Date 999 Can t assign class Refer to status code above and suggested resolution Using SNAPshot V3 8 to collect AROC Dataset Page 23 Australian Health Services Research Institute Appendix 1 Control Keys Key Action Arrows Move left right up or down Enter or Tab Save field changes if any and move to the next field to the right or down Shift Tab Save field changes if any and move to the previous field to the left or up Alt down arrow For coded fields open the drop down list Ctrl A Add a new record Ctrl S Save the current changes If the field in edit mode cancel field changes In record edit mode cancel record changes If you are positioned in the EditVie
48. ra District Hospital Fund Limited Naval Health Ltd NIB Health Funds Ltd Phoenix Health Fund Ltd Queensland Country Health Ltd Railway amp Transport Health Fund Ltd Reserve Bank Health Society Ltd St Luke s Medical amp Hospital Benefits Association Ltd Teachers Federation Health Ltd HBF Health Funds Inc HCF Hospitals Contribution Fund of Australia Ltd The Transport Health Pty Ltd Westfund Ltd NRMA Health MBF Alliances Queensland Teachers Union Health Fund Ltd Police Health Unknown CTP Insurer Allianz Australia Insurance Ltd Australian Associated Motor Insurers Ltd QBE Insurance Australia Suncorp Metway RACQ Insurance Ltd NRMA Insurance Ltd Transport Accident Commission Vic AAMI Using SNAPshot V3 8 to collect AROC Dataset Page 29 Australian Health Services Research Institute 609 610 611 612 613 614 615 616 999 WC Code 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 999 CIC GIO QBE Zurich Insurance Commission of Western Australia Motor Accident Insurance Board Tasmania Territory Insurance Office NT SGIC General Insurance Unknown Workers Compensation Insurer WorkCover Qld Allianz Australia Workers Compensation Cambridge Integrated Services Vic Pty Ltd CGU Workers Compensation JLT Workers Compensation Services Pty Ltd QBE Worker s Compensation Wyatt Gallagher Bassett Workers Compensation Victoria Pty Ltd Employers Mutual Inde
49. re based on care date Both From and To dates must be entered Records are listed if the patients were in care between the From and To dates For example to list patients in care on 01 02 09 specify From 01 02 09 To 01 02 09 You could choose intervals longer than one day such as a week but only those patients in care for the entire period would be listed 3 1 5 Generating the AROC Ambulatory Extract This report produces a fixed format ASCII file that comprises the version 1 AROC Ambulatory Clinical data set to be submitted to AROC To create the AROC Ambulatory Extract press Shift F8 whilst positioned on any of the data lists in SNAPshot Select item 58 AROC Ambulatory Extract from the list of reports enter your Facility Code and then press Generate Report This produces a text file named AROCFacilityNameY YYYMMDDV3 8x txt where facility name is the name as entered in the Facility screen and YYYYMMDD is today s date the day the extract is created Do not change the name of the file created by SNAPshot Please note that From and To dates should not be selected when creating the AROC Ambulatory Extract The AROC Ambulatory Extract text file is written into the extract folder The default location of the extract folder is c Snapshot however you can specify another folder which can be on any computer including and or other than the one on which SNAPshot is installed for further information ple
50. reate it for you 3 1 2 The Report Database Folder You can create as many report databases as you like for example you might want to keep the tables which are generated during a session for analysis using another system In this situation it is normally preferable to keep the report databases in the same folder However if you wish to use multiple folders you will have to copy the rpt files into each folder where you store report databases Using SNAPshot V3 8 to collect AROC Dataset Page 15 Australian Health Services Research Institute The reporting facility inside Snap uses Crystal Reports version 8 and the rpt files are the report definition files You should not change the rpt files if you have a copy of the Crystal Reports system installed 3 1 3 Extract Folder The default extract folder is C SNAPextract You can use this default folder or you can specify another folder in which to write the data extract files This folder can be on a different computer for example on a server If the folder you set for your extracts does not already exist you will be asked if you want it to be created You should answer Yes 3 1 4 Selection criteria If you do not enter any values in the criteria edit boxes all relevant records will be included Alternatively you may choose any combination of values to select data subsets If you specify more than one field value then all of the conditions must be met The reports by date a
51. res have been entered in Cognition Score the Rehab GEM screen 313 Field error HONOS Total Ensure that the AdultHoNOS data items have been entered for adult mental health episodes 314 Field error HONOS Overactive Ensure that the AdultHoNOS data items have been entered Score for adult mental health episodes 315 Field error HONOS ADL Score Ensure that the AdultHoNOS data items have been entered for adult mental health episodes 316 Field error Maintenance Type Ensure that the Maintenance Type has been entered in the Maint RUG screen 317 Field error Focus of Care Ensure that the MH data items have been entered for mental health episodes 318 Field error Sole Practitioner Ensure that the data item Sole Practitioner in the Episode Screen has been completed 319 Field error MH Service Ensure that the Mental Health Service data item in the Episode screen has been completed for mental health episodes 320 Field error Diagnosis 1 Enter primary diagnosis diagnosis 1 in Clinical screen for mental health episodes 321 Field error HONOS 5 Score Ensure that the AdultHoNOS data items have been entered for adult mental health episodes 322 Field error HONOS 10 Score Ensure that the AdultHoNOS data items have been entered for adult mental health episodes 323 Field error LSP 13 Score Ensure that the AdultLSP data items have been entered for adult mental health episodes 324 Field error CGAS Begin Score Ente
52. s or farm but were not at work CODE 2 Unemployed Unemployed persons are those aged 15 years and over who were not employed during the reference week and a had actively looked for full time or part time work at any time in the four weeks up to the end of the reference week Were available for work in the reference week or would have been available except for temporary illness i e lasting for less than four weeks to the end of the reference week Or were waiting to start a new job within four weeks from the end of the reference week and would have started in the reference week if the job had been available then or b were waiting to be called back to a full time or part time job from which they had been stood down without pay for less than four weeks up to the end of the reference week including the whole of the reference week for reasons other than bad weather or plant breakdown Note Actively looking for work includes writing telephoning or applying in person to an employer for work It also includes answering a newspaper advertisement for a job checking factory or job placement agency notice boards being registered with a job placement agency checking or registering with any other employment agency advertising or tendering for work or contacting friends or relatives CODE3 Notin the Labour Force Persons not in the labour force are those persons aged 15 years and over who during the reference week were not in the categories
53. sis of non traumatic i e medical or post operative origin AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group SPINAL CORD 4 111 Paraplegia Tuberculosis infective processes involving the vertebral DYSFUNCTION Incomplete column 4 112 Paraplegia Neoplasm tumour of spinal column or spinal meninges malignant or benign includes secondary tumours Complete Neoplasm of other parts of nervous system of unspecified nature 4 1211 Quadriplegia Transverse myelitis Incomplete C1 4 Intraspinal or paraspinal abscess Dissection of aorta 4 1212 Quadriplegia Aortic aneurysm ruptured Incomplete C5 8 Spontaneous haematoma Spondylosis with myelopathy 4 1221 Quadriplegia Spinal infarction Complete C1 4 Intervertebral disc disorder with myelopathy 4 1222 Quadriplegia Complete C5 8 Spinal stenosis in cervical region if deficits include weakness Spinal stenosis other than cervical if deficit includes weakness 4 13 Other Non traumatic Spinal Cord Late effects of spinal cord injury Dysfunction Pathological fracture with associated spinal cord dysfunction An unavoidable recognised surgical complication resulting in spinal cord dysfunction following surgery for the above conditions Traumatic Spinal Cord Dysfunction USE this group for cases with quadriplegia paresis and paraplegia paresis secondar
54. sm and thrombosis extremities 5 4 Single Lower Buerger s disease Amputation Below the Acquired deformity or injury affecting Knee limbs Aneurysm of extremities 5 5 Double Lower Traumatic amputation complete partial Amputatan ABOVE the Amputation stump complication revision Knee includes through H the knee ae angen Vasculitis eg scleroderma SLE 56 Double Lower Connective tissue disorders Amputation Above Below the Knee Gangrene Infective processes eg osteomyelitis cellulitis Using SNAPshot V3 8 to collect AROC Dataset Page 36 Australian Health Services Research Institute 5 7 Double Lower Amputation Below the Knee 5 8 Partial Foot Amputation includes single double 5 9 Other Amputation Congential limb loss when prosthesis required Using SNAPshot V3 8 to collect AROC Dataset Page 37 Australian Health Services Research Institute 6 ARTHRITIS USE this group for cases in which the major disorder is arthritis of all aetiologies Do NOT use for cases entering rehabilitation immediately after joint replacement even if the procedure was performed secondary to arthritis These should be classified to POST ORTHOPAEDIC SURGERY 8 211 08 26 AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group ARTHRITIS 6 1 Rheumatoid arthritis Rheumatoid arthritis Juvenile chronic polyart
55. support received during episode Item 22 Enter the code for the level of support that the client received during this episode of ambulatory rehabilitation 1 Lives alone no support care Lives with others no support care Lives alone with external support s Lives with others who provide support care Lives with others with external support Other arrangements Not stated inadequately described ODUIRWL Total number of days seen Item 26 Enter the total number of days that service s were provided to the patient For example if the patient attended the rehab centre twice a week for 4 weeks the count would be 8 Total number of Occasions of service Item 27 Enter the total number of occasions of service to the patient For example if the patient attended the rehab centre twice a week for 4 weeks and had physiotherapy and hydrotherapy at each visit the total count would be 16 Staff type providing therapy Item 28 Please indicate all the therapies that were provided to the patient during this episode of care choose up to 10 Note this item is designed to capture information about the type of therapy experienced by the patient during the episode a single therapist may deliver more than one type of therapy e g physio and hydrotherapy done by the physiotherapist in this instance record both physiotherapist and hydrotherapist in staff type AROC Impairment code Item 33 Primary reason for
56. system that has been present since birth 12 1 Spina Bifida 12 9 Other Congenital Deformities AROC AROC Impairment Impairment Aetiologic Diagnosis Group Group Code CONGENITAL 12 1 Spina Bifida DEFORMITIES Spina Bifida 12 9 Arthrogryposis Other congenital Other congenital anomalies of nervous deformities system Osteogenesis imperfecta Using SNAPshot V3 8 to collect AROC Dataset Page 41 Australian Health Services Research Institute 13 OTHER DISABLING IMPAIRMENTS USE 13 1 for cases in which the major disorder is lymphoedema USE 13 2 for cases that cannot be classified into any other impairment group This group should be rarely used AROC AROC Impairment Impairment Aetiologic Diagnosis Group Group Code OTHER 13 1 Lymphoedema DISABLING IMPAIRMENTS 13 2 Other Disabling This group should be rarely used Impairments 14 MAJOR MULTIPLE TRAUMA USE for trauma cases with complex management due to involvement of multiple systems or sites where specialised rehabilitation is required for each of the impairments Do NOT use for multiple fractures These should be classified to FRACTURE OF MULTIPLE SITES 8 17 AROC Impairment AROC Impairment Group Code Aetiologic Group Diagnosis MAJOR 14 1 Brain Spinal Cord Injury spinal cord MULTIPLE caudaequina spinal nerve root major TRAUMA plexus or multiple roots 14 2 Brain Multiple Fracture Amputation
57. t Group Code Aetiologic Diagnosis Group CARDIAC 9 1 Acute myocardial infarction DISORDERS Cardiac disorder following Cardiac myopathy recent onset of new cardiac impairment Post cardiac surgery 9 2 Chronic cardiac insufficiency Coronary atherosclerosis Ischemic heart disease Heart failure Cardiac myopath 9 3 Heart or heart lung transplant Using SNAPshot V3 8 to collect AROC Dataset Page 40 Australian Health Services Research Institute 10 PULMONARY DISORDERS USE for cases in which the purpose of this rehabilitation episode is to address poor activity tolerance secondary to pulmonary insufficiency AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group PULMONARY 10 1 Chronic Chronic obstructive pulmonary disease DISORDERS Obstructive Pulmonary Disease 10 2 Lung Transplant 10 9 Other Pulmonary Chronic bronchitis Disorders Post pneumonia Emphysema Asthma Bronchiectasis Pulmonary insufficiency following trauma surgery 11 BURNS USE for cases in which the purpose of this rehabilitation episode is to address burns to major areas of skin and or underlying tissue AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group BURNS 11 Burns 12 CONGENITAL DEFORMITIES USE for cases in which the purpose of this rehabilitation episode is to address an anomaly or deformity of the nervous or musculoskeletal
58. t settings mapped fields and Auto responses 8 2 3 Initial setup the facility SCreen 8 2 4 Initial setup the provider unit SCreen 8 2 5 Initial setup the wardteam SCreen 8 2 6 Entering information into the patient SCreen 9 2 7 Entering information into the episode Screen 10 2 8 Entering information into the AROCAmbulatory screen 13 3 DATA EXTRACTION AND REPORTING 15 3 1 The Report Database and AROC Inpatient extract 15 3 1 1 The Report Database 15 3 1 2 The Report Database Folder 15 3 1 3 Extract Folder 16 3 1 4 Selection criteria 16 3 1 5 Generating the AROC Ambulatory Extract 16 3 1 6 The Generate button 17 3 1 7 Uploading your AROC data extract file to AROC via AROC Online Services 18 3 2 Assigning an AN SNAP class to your episodes 19 4 TROUBLESHOOTING 20 5 SNAPCLASS STATUS CODES 22 APPENDIX CONTROL KEYS 24
59. ufficiency 16 1 Re conditioning following surgery 16 2 Re conditioning following medical illness 16 3 Cancer rehab where patient is de conditioned as a result of their cancer or treatment for their cancer excludes patients with ongoing cancer management issues Using SNAPshot V3 8 to collect AROC Dataset Page 28 Australian Health Services Research Institute Appendix 4 List of Health Funds and Other Payers Health Fund Code 1 2 11 13 14 18 19 20 22 25 26 29 32 37 38 40 41 46 47 48 49 50 53 56 57 61 65 66 68 71 74 77 78 81 83 85 86 87 999 CTP Code 601 602 603 604 605 606 607 608 Health Fund ACA Health Benefits Fund The Doctor s Health Fund Ltd Australian Health Management Group Australian Unity Health Limited BUPA Australia Health Pty Ltd trading as HBA in Vic amp Mutual Community in SA CBHS Health Fund Limited Cessnock District Health Benefits Fund Credicare Health Fund Limited Defence Health Limited Druids Friendly Society Victoria Druids Friendly Society NSW Geelong Medical and Hospital Benefits Assoc Ltd GMHBA Grand United Corporate Health Limited Health Care Insurance Limited Health Insurance Fund of W A Healthguard Health Benefits Fund Ltd trading as Central West Health CY Health amp GMF Health Health Partners Latrobe Health Services Inc Lysaght Peoplecare Ltd Manchester Unity Australia Ltd MBF Australia Ltd Medibank Private Ltd Mildu
60. ur database file is also displayed Click OK Using SNAPshot V3 8 to collect AROC Dataset Page 3 Australian Health Services Research Institute E i Database C SNA4PSHOT382e SnapTest mdb Episodes gt 90 days 1 BegDate lt 28 11 2008 See data set Epi90Day For list e Press Shift F7 together A pop up will open asking you to enter the facility password to open the database 1 1 3 The Main Screen The Main Screen is where information is recorded about a facility its staff its clients personal information and health status and occasions of service provided The Main Screen has 6 parts a Patient List an Episode List a Staff List a Set List a Multi List and an Edit View Figure 1 SNAPshot main screen WMAP etre RAME Meim Provider List PULOD I Fact ty X245 wi 2d CE EA aleiz enno PADOT AN Pari SS Cs _ _ Ioos Telji BR T Cr ee LC a r E C IOn jedani hraa 10S Cwe TOn St Moses 1 L Pon ss Cietet y w ASH ena pem m i i Femte UE 3 4 t 1 IA arret iaa AAE mae Dore FTIRA 13i Aree i Na i PJ 278 heimot Nfoenary OL IO ment M123 Sh Lacy r 129 1 ID eghmdaa 2A 1 538 Co DED Si Luas 1 245 1 L PN DOuport Chew tano Mara P J te J eS ed AA 1 F108 wi JODL Atcrmon Jane O21 40 asahinai eA L Joay bet oan UDE Su Aamsr 1 PES Mel ote isien GANA HY hamani ons oaa Dee T T oan C Depi miie JAV erer ETS agr Nore BAD He Previa mh ao y en Seat a PPO Owen tare 19 0
61. w but are not currently editing pressing the Esc key will move the cursor to the Date field and you can move forward to the Shift field by pressing the Tab key or back to the control buttons using Shift Tab Pressing the Tab key on the Shift field will move you to the EditView If you press the Esc key on the Date field you will jump to the SetList and you can move up and down the SetList without selecting a set by holding down the Shift key whilst you press the Up Down arrow keys Shift Up Down on SetList You can move up and down the SetList without selecting a set by holding down the Shift key whilst you press the Up Down arrow keys When you are positioned on the required set release the Shift key and the set will be selected The F6 key will move you forwards from segment to segment Shift F6 will move backwards F7 F7 is the Process key and for certain segments data sets provides additional processing options Using SNAPshot V3 8 to collect AROC Dataset Page 24 Australian Health Services Research Institute Appendix 2 Searching for a client by name or by mrn You can search for a client in the Patient list by surname or by Medical Record Number MRN Click in the Patient List or press the F6 key to move the cursor to it If the patient list ordering is by Name then Name will appear in the caption bar If the patient list ordering is by MRN then MRN will appear in the caption bar It is also possi
62. y to trauma accident injury AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group SPINAL CORD 4 211 Paraplegia Fracture of vertebral column with spinal cord DYSFUNCTION Incomplete injury Spinal cord injury without evidence of spinal bone 4 212 Paraplegia injury Using SNAPshot V3 8 to collect AROC Dataset Page 35 Australian Health Services Research Institute Complete 4 2211 Quadriplegia 4 2212 Quadriplegia Incomplete C5 8 4 2221 Quadriplegia Complete C1 4 4 2222 Quadriplegia Complete C5 8 4 23 Other Traumatic Spinal Cord Dysfunction Incomplete C 1 4 Spinal cord dysfunction resulting from surgical misadventure 5 AMPUTATION OF LIMB USE this group for cases in which the major deficit is partial or complete absence of a limb AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group AMPUTATION 5 1 Single Upper Neoplasm of bones or cartilage and other OF LIMB Amputation Above the soft tissue of limb Elbow Secondary neoplasm of bone Diabetes with neurologic manifestations 5 2 Single Upper or diabetes with peripheral circulatory Amputation Below the disorders Elbow Hereditary and idiopathic peripheral neuropathy 5 3 Single Lower Inflammatory and toxic neuropathy Amputation Above the Atherosclerosis of the extremities Knee includes through Peripheral vascular disease unspecified the knee Arterial emboli
63. your provider unit e g Rehab 2 5Initial setup the wardteam screen The WardTeam Screen allows a site to set up a number of different programs or teams Not all facilities will need or want to do this and completing these data items is not mandatory but has been included in the AROC dataset to give those facilities that would like to be able to differentiate by program or team the ability to do that When data relating to an episode is entered into SNAPshot it can then be assigned to a specific ward team see Table 4 data items entered in the Episode screen Table 3 Definitions for fields relevant to AROC in the WardTeam Data Set Snapshot field AROC data item Description Program Item 3 Enter up to a 4 character alphanumeric code for your identifier ward or team e g Tm01 Enter the name of your program unit e g R 1 T H Using SNAPshot V3 8 to collect AROC Dataset Page 8 Australian Health Services Research Institute 2 6Entering information into the patient screen The Patient Client Screen contains identifying and demographic information Before adding a new patient client it is a good idea to check first to see if they are already in SNAPshot as this will avoid duplicate records Refer to Appendix 2 for how to search by MRN or Surname Adding a New Client Patient Record 1 Select the Patient data set from the Set List The Patient Details Screen will now be displayed in the

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